好色先生

好色先生

Explore the latest content from across our publications
Join The AAN

Log In

Forgot Password?
Create New Account

Loading... please wait

Abstract Details

Preadmission retirement is associated with abnormal communication after hemorrhagic stroke
Cerebrovascular Disease and Interventional Neurology
P11 - Poster Session 11 (11:45 AM-12:45 PM)
5-021
The objective of this study was to identify preadmission and admission factors associated with abnormal communication after hemorrhagic stroke.

Hemorrhagic stroke survivors can have deficits in communication ability. Understanding associated factors can guide surveillance and interventions.
Patients with non-traumatic intracerebral or subarachnoid hemorrhage (ICH or SAH) admitted at an urban academic medical center between January 2015 and December 2024 were assessed by telephone 3-months post-bleed using the Quality of Life in Neurological Disorders (Neuro-QoL) Communication short form. Univariate and multivariate analysis were used to evaluate the relationship between abnormal communication (Neuro-QoL t-score <100) and preadmission and admission factors in patients with 1) ICH or SAH and 2) ICH only.   
Of 108 patients [68 ICH and 30 SAH; median age 61.5 (IQR 46.8-69.2)], 59 (54.6%) had abnormal communication 3-months post-bleed. On univariate analysis of the full cohort, poor communication was associated with (p<0.05): retirement, admission NIHSS/APACHE II scores, mechanical ventilation, and hospital length-of-stay. On multivariate analysis, poor communication was associated with retirement [OR 12.4 (3.81 – 47.2), p < 0.001], admission NIHSS [OR 1.13 (1.02 – 1.26), p < 0.025], and hospital length-of-stay [OR 1.09 (1.02 – 1.18), p < 0.013]. On univariate analysis of the ICH cohort, poor communication was associated with: retirement, ICH volume, ICH supratentorial location, admission NIHSS score, and hospital length-of-stay. On multivariate analysis, poor communication was associated with retirement [OR 12.6 (2.98 – 70.8), p = 0.001], ICH supratentorial location [OR 7.16 (1.21 – 58.2), p = 0.041], and hospital length-of-stay [OR 1.16 (1.05 – 1.35), p < 0.021].

Abnormal communication after hemorrhagic stroke is more common in patients who are retired preadmission and have longer hospital stays. Heightened surveillance and early engagement with speech and language therapists is suggested for retired patients with hemorrhagic stroke.
Authors/Disclosures
Nikhil V. Avadhani, BA
PRESENTER 		Mr. Avadhani has nothing to disclose.
Kara R. Melmed, MD (NYU Langone Neurology Associates) Dr. Melmed has nothing to disclose.
Benjamin Brush, MD (NYU Langone Neurology) Dr. Brush has nothing to disclose.
Aaron Lord, MD (NYU Langone-Brooklyn) Dr. Lord has nothing to disclose.
Kaitlin Hanley, SLP Ms. Hanley has nothing to disclose.
Jennifer A. Frontera, MD (NYU Langone Health) Dr. Frontera has received personal compensation in the range of $500-$4,999 for serving as a Consultant for FirstKindMedical. Dr. Frontera has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Physician 好色先生 Resource. The institution of Dr. Frontera has received research support from NIH. The institution of Dr. Frontera has received research support from Alexion. Dr. Frontera has received publishing royalties from a publication relating to health care.
Koto Ishida, MD, FAAN (NYU) Dr. Ishida has received publishing royalties from a publication relating to health care.
Jose L. Torres, MD (NYU) Dr. Torres has nothing to disclose.
Leah P. Dickstein, MD (Johns Hopkins Hospital) Dr. Dickstein has nothing to disclose.
David E. Kahn, MD (NYU School of Medicine) An immediate family member of Dr. Kahn has received personal compensation for serving as an employee of Essai.
Ting Zhou, MD (New York University Langone Health - Brooklyn) Dr. Zhou has nothing to disclose.
Ariane Lewis, MD, FAAN (NYU Langone Medical Center) Dr. Lewis has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Seminars in Neurology. Dr. Lewis has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Journal of Clinical Neuroscience.